Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Attendance Form New 600 50 0 Form and Instruction 7
Facilitator Session Log New 600 150 0 Form and Instruction 5
Facilitator Survey New 8 3 0 Form and Instruction 6
Key Informant Interviews New 10 10 0 Form and Instruction 9
Outcome Evaluation Baseline Survey New 1596 798 0 Form and Instruction 3
Outcome Evaluation Follow-Up Survey New 1596 798 0 Form and Instruction 4
Parental consent New 1680 140 0 Form and Instruction 1
Process evaluation participant survey New 756 126 0 Form and Instruction 10
Student Rosters and Administrative Data Form New 14 28 0 Form and Instruction 8
Youth Assent Form New 1680 140 0 Form and Instruction 2
Total burden requested under this ICR: 8540 2243 0  
To view an IC, click on IC Title